Or. Admin. Code § 410-122-0182 - Legend

This rule is retroactive and applies to services rendered on or after Jan. 1, 2009.

(1) The Division uses abbreviations in the tables within this division.

(2) This rule explains the meaning of these abbreviations.

(3) PA - Prior authorization (PA): "PA" indicates that PA is required, even if the client has private insurance. See OAR 410-122-0040 for more information about PA requirements.

(4) PC - Purchase: "PC" indicates that purchase of this item is covered for payment by the Division.

(5) RT - Rent: "RT" indicates that the rental of this item is covered for payment by the Division.

(6) MR - Months Rented:

(a) "13" - Indicates up to 13 consecutive months of continuous rental, when the Division fee schedule purchase price is met for the item, when the usual purchase price is reached or the actual charge is met (whichever is lowest), the equipment is considered paid for and owned by the client. The provider must then transfer title of the equipment to the client;

(b) For any other rental situation, where the Division fee schedule lists a purchase price and this purchase price is met for the item, when the usual purchase price is reached or the actual charge is met (whichever is lowest), the equipment is considered paid for and owned by the client. The provider must then transfer title of the equipment to the client.

(7) RP - Repair: "RP" indicates that repair of this item is covered for payment by the Division.

(8) NF - Nursing Facility: "NF" indicates that this procedure code is covered for payment by the Division when the client is a resident of a nursing facility.

Notes

Or. Admin. Code § 410-122-0182

OMAP 44-2004, f. & cert. ef. 7-1-04; OMAP 47-2006, f. 12-15-06, cert. ef. 1-1-07; DMAP 37-2008, f. 12-11-08, cert. ef. 1-1-09; DMAP 40-2009, f. 12-15-09, cert. ef. 1-1-10

Stat. Auth.: ORS 413.042 & 414.065

Stats. Implemented: ORS 414.065